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LSU Materials Request Form

For Currently Enrolled Students

Please enter information for the requested item in the areas below; be sure to fill out all of the relevant fields, so your form can be processed expeditiously.

(* All fields in red are required fields and must be filled in before form is submitted.)

Institution where instruction is received:

Course number:

Date of Request:

Borrower's name:

Borrower's TigerCard Number:

Status: Faculty  Grad Staff

Mailing Address:

Email Address:

Your 24 hour fax number:

Please specify:
Article to be faxed ; Article to be mailed

Department: Phone:

Select One:
Book Journal Microform Other

Call Number:

Author/Editor (for book, dissertation):

Title (for book, journal, dissertation):

Publisher: Year:  Edition: 

Article Author:

Article Title:

Volume: Issue/No.:  Pages:  Date: 

Exact Source of Citation:

I authorize LSU Libraries to obtain the above material for me and assume responsibility for returning materials on time when applicable.

Distance Education | Copyright © 2001 -- 2008 | LSU Libraries | Louisiana State University | Baton Rouge, LA 70803 | Tel (225) 578-2217 | Fax (225) 578-6825 | Comments or Suggestions: Peggy Chalaron Tel. (225) 578-7068 | Last Updated: Tuesday, 29-Apr-2008 09:20:22 CDT